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Home My WebLink About25332-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26112 Date: 11/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 1095 GOOSE CREEK LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 8 Lot 7 SOUTHOLD Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 1998 pursuant to which Building Permit No. 25332-Z dated NOVEMBER 17, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ENCLOSE REAR PATIO, CELLAR ENTBANCE AND DECK BENEATH EXISTING SIDE ROOF AREA "AS BUILT" TO ~N EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN & JEFFREY LAYMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPANTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building In-spear- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25332 Z Date NOVEMBER 17, 1998 Permission is hereby granted to: STEPHEN & JEFFREY LAYMON 1397 CRESCENT DRIVE LARGO FL, 33770 for : ENCLOSE EXISTING REAR PATIO & CELLAR ENTRANCE AND DECK BENEATH EXISTING SIDE ROOF AREA "AS BUILT" AS APPLIED FOR. at premises located at 1095 GOOSE CREEK LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0008 Lot No. 007 pursuant to application dated SEPTEMBER 18 1998 and approved by the Building Inspector. Fee $ 75.00 Building Inspectoy ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residencesand similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25,00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ew Construction ........... Old Or Pre-existing Building..~ ....... _ ..... 5ocation of Proper~yt .................. ~ ............ House No. Street Hamlet :ount~ Ta., ~p No 1000, Se~tion...7~ ....... Blo~..~ ~ .......... Lot.O.,Z. ...... ;ubdivision Filed Map Lot · · ?ermit No Date Of Permit Applicant .. tealth Dept. Approval............... ........ . . . Underwriters Approval ......................... 'lanning Board Approval ........................ request for: Temporary Certificate ........... Final Certicate....'.~..J.... .~ee Submitted: $~%)~ ~ ~i~ ..... ..-~..~T.. ............ ]~~'/''~~~~ ~ '35-q ocs ....... ,~0~. ................ I~OARD OF BEALTB ............... ~t/3 SRTS OF PLANS ............... ~/SUBVB¥ ........................ ./ti/iCE ......................... SEPTIC FORH .................. · NOTIFY: l~a. l L TO: ............... Date ................ ,19 .... INSTRUCTIONS a. 'Ibis applicatian must be ccmpletoly filled in by typeariter or in irk and suhaitted to the Building LuspecCor 3 sets of plans, accurate plot plan to scale, Fca acco~dit~ to schedule. b, PloC plan shc~& locatioo of lot and of lmildi~gs an l~emisca, relatianship to edjoini~& premises or public streets or areas, and ~ivi[~ a detailed descripcica of laycuC of property Dust be ~ ca Ehe diatp~m T~aich is parc of ~his applica~ioa. c, 'lhe uork covered by ~hia applica£ica my not be cc~e~ced before issuance of lhildi~ Pemit. d. Upon approval of chis application, Che Buildi~& 13~spector ~ill i_~ a Building Pemit to cbe applicant. Such permit a~all be.kept ca the premises available for iaspectic~ chrout~ant ~ wi, e. ~o building shall be oco_Tied or ,_,__~d_ in ~hole or in pa~ for any ~ ~hatever tmtil a Certificate of Occupa~y shall have been granted by the l~ildi~ Inspector. AP~ICA3~I I$ hIII~BY ~ to the l~ildi~ Departs_ nt for ~ iss-~c-e of a l~uilding Permit pm~-t to the Buildir~ Zane Ordi~e~ce of the Tc~ of ~Chold, ~uffolk Cc~cy, lt~ York, and o~her applicable La~, Ordi~as'or Regulatioas, for the c~sCructica of l~ildix~a, edditio~s or altoraticas, or for rs~val or ~m_~_litic~, as herein described. The applicant agreca to ~.ly rich all applicable la~s, ordinancca, beildhlg code, beuaiug cede, a~d ~egulatio~s, and to admit authorized inspectors an premlse8 aed ~n beildia for ~eceasary Csi ( M d (F, ailin~ ,~ta,-~aa of applicant) Sta£e ~/~ether applicant is o~er, lessee, a~ant, architect, engineer,' ge~eral coatrantor, 'electrician, ph~ber or Ixdlde~ ..... .C.l ..................................................... ................... ; ......................... ~ .... ~, ,~..?~ , ,r.,- ' 7~,~1802 9 AM TO 4~'PM-FOR THE ..... FOLLOWING INSPECTIONS: and title of corporate officer) OCCUPANCY OR USE IS UNLAWFUL Build,rs License 14o ...................... WITHOUT CERTIFICATE ........................ OF OCCUPANCY Plunbers ' gl~ccricians L/¢e~e. 1~ ...................... 1. FOUNDATION - TWO REQUIRED FOR POURED CONCR~I I~ 2, ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL - "CONSTRUCTION MUST 8E COMPLETE FOR C,Oo ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY 12. 13. liature d .ork (cMdt ~tdch appl!cableh ll~ Buildi~ .. ........ /~litio~ .....~'~.,. Alterstion .......... Repair ............ l~oval .... ' ........IIemolitiot~ ............ Other l~ork ..... il~;i;~i~i ................ Estimated Cost ............ Z ............ fee .............................................. (to be paid on filing this application) If &elling, uumber of d~lltng mits ............ timber d d~lltng traits ou each fleer ................ If garage, n~ber of e~tm ...................................... If business, co~,~ccial or mt~,d occupancy, specify nature mxl extent of each type of use ...................... 1)tmensiens of extsttr~ stmcture~, if any: Front ................ Rear ............... Oepth ................. l~eight ......................... I l~/mr of Stories ...................... Dimensions of same structure with alterattnas or mtdttions: Front ............... Rear ............... 1Bepth .................... ttetghI .................... limber d Stories ............... Dtmensiens of entire ee~ cnastru :tim: Front ............... Rear ............. Depth ... I~eight ......................... t~ber of Stories ..................... Size of lot: l~t ................... Rear .................... Depth .................... f Purct ~ f 17o~ O~oer · · Zone or use district in ~/dch p~ =ines are sttamted ................................................... · . - -- -- .-. · l)nes ufovosed enestx~:tton viole Ce may zoning 1~, ordtnanee or x~.-~ladon~ ........................ l~ill lot be regradad .................... I~tll emeess fill be ll~es of O~er of p~tzes ........................... /~kkess .............................. Phone It> ............... Na~ of Architect .................................... t~lrees ........................... .. . Phone ~ ............... tiara d Omtractor ................................... Mdreas ...............................Pho~ Ho ............... 15. Is this ~arty within 300 feel of a tidal ~etland? * ~ .......... I~D .......... i~OT DIAORAH l~eate clearly and distinctly ~ 1 buildlngs, ~hether e~,tsttug or proposed, and indicate all net-beck dhnansi,ons f,'oa p,-overty lines. Ci~ street ~d block mmber or dascriptt~ according to &~'d, taxi sho~ street n~es and indicate ~aetber interior or comer lot, [~ 15 t[~I ......... M..i,li.hL~ ................. ~ (~t~t~, ~r,t, ~ate dficer, ere,) ' oE ~d ~r or ~re~ ~ is ~ly ~t~n~ to ~ff~ or h~ ~d~ ~ ~id ~ ~ Co ~ke ~ file this a~h~txen/ ~at all etat~,=.ts ~ta{~ In ~xs uaai~tl~ are t~ to ~e ~at of his ~1~ a~ ~hef, a~ that ~ ~ will ~ ~rDM in tim ~r ~t f~th ~ ~e a~li~ti~ fil~ ~. ~m ..... ..... . ...... Notary ~blic, Sta~e of New York (~t~m offA~ti~O / No; 4¢~,,S.ffoik? _ ~ CounW 'term Expires ~ ~7 '] that be is tbe appl. lc~t